Accounting Manager

Focus Practice Management is a business services company headquartered in Webster, New York. Guided by the philosophy "We Focus on You," we provide accounting, payroll, operational support, credentialing, technology, and practice management services to healthcare organizations and professional service firms throughout the region.

Our team helps clients focus on serving their patients and customers while we manage the financial and administrative functions that support their success.

Focus Practice Management is seeking an experienced Accounting & Financial Operations Manager to oversee accounting operations for multiple affiliated entities while ensuring accurate financial reporting, strong internal controls, and efficient business processes.

This hands-on leadership role combines accounting management, financial reporting, payroll oversight, and operational support. Working closely with the CFO and senior leadership team, you will play a key role in maintaining financial accuracy, improving workflows, supporting strategic initiatives, and helping the organization scale for future growth.

The ideal candidate is detail-oriented, highly organized, and enjoys taking ownership of accounting processes, solving problems, and improving systems.

• Oversee day-to-day accounting operations for multiple affiliated entities
• Maintain financial records utilizing Quick Books Online and related systems
• Perform and review bank reconciliations and balance sheet reconciliations
• Manage accounts payable, vendor payments, expense tracking, and account coding
• Monitor accounts receivable activity and assist with collections
• Review and reconcile credit card activity
• Maintain general ledger accuracy and supporting documentation
• Prepare monthly financial statements and management reports
• Assist with budgeting, forecasting, and financial analysis
• Track intercompany transactions and allocations
• Coordinate annual audits and support external accountants and advisors
• Support trust accounting, billing, and professional services accounting functions as needed
• Identify and implement process improvements to increase efficiency and strengthen controls

• Partner with the CFO and leadership team on financial reporting and operational initiatives
• Assist with developing and maintaining accounting policies and procedures
• Provide financial analysis to support business decisions
• Participate in planning, technology enhancements, and process improvement projects
• Help develop scalable accounting processes to support growth
• Assist with training and cross-training efforts to ensure continuity of key functions

• Review payroll reports, journal entries, tax filings, and reconciliations for accuracy
• Serve as backup payroll processor using Gusto and related systems when needed
• Assist with retirement plan contributions, HSA administration, payroll audits, and compliance requirements
• Coordinate with payroll providers, benefit vendors, accountants, and tax professionals
• Support annual reporting requirements and insurance audits

• Provide backup support for onboarding, payroll administration, and benefits-related processes
• Collaborate with team members to maintain accurate employee and payroll records
• Assist with open enrollment and compliance documentation
• Provide administrative coverage during absences and peak workload periods
• Support special projects requiring collaboration across accounting, payroll, and operations

• Associate's or Bachelor's degree in Accounting, Finance, Business Administration, or a related field,…